Prime Medical Services – Gerontology Nurse Practitioner, NPI 1306396148

Prime Medical Services is a healthcare provider. based in Bloomington, Illinois. specializing in Gerontology Nurse Practitioner. The NPI Number for Prime Medical Services is 1306396148

Main info

Organization
Name
Prime Medical Services
NPI
1306396148
Phone
(309) 828-4361
Address
115 W JEFFERSON ST
Authorized Official
DAVID UNDERWOOD EXEC VP & CFO CPA
Enumeration Date
5 October 2016
Last Update Date
5 October 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:9State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Prime Medical Services

  • 115, West Jefferson Street, Bloomington, McLean County, Illinois, 61701, United States

    SUITE 401

    BLOOMINGTON, IL 617013946

    Phone: (309) 828-4361

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

What is the registry number for Prime Medical Services?
The registry entry for Prime Medical Services shows NPI 1306396148.
Does the public listing show Prime Medical Services as active?
Prime Medical Services's NPI record reflects an active status in NPPES.
How should patients interpret Prime Medical Services's specialty?
The extract shows Gerontology Nurse Practitioner for Prime Medical Services. Clinical services aligned with this taxonomy classification.
Which community is linked to Prime Medical Services?
Prime Medical Services shows a connection to Bloomington, Illinois in registry-derived data.
Who maintains Prime Medical Services's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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